Neuropsychiatrie de l''Enfance et de l''Adolescence最新文献

{"title":"L’alliance thérapeutique en situation transculturelle. Enquête auprès des psychiatres de l’enfant et de l’adolescent de la Haute-Garonne et perspectives","authors":"D. Boisson ,&nbsp;I. Gicquel ,&nbsp;F. Giraud ,&nbsp;M.-R. Moro","doi":"10.1016/j.neurenf.2024.11.004","DOIUrl":"10.1016/j.neurenf.2024.11.004","url":null,"abstract":"<div><h3>Background</h3><div>The problem of the therapeutic alliance seems very present and specific in child psychiatry in a transcultural situation. The purpose of this article is to make an inventory of the practices and uses of child psychiatrists in Haute-Garonne when they are confronted with a lack of therapeutic alliance in a transcultural situation. Then, in a second step, to propose avenues for the evolution of practices based on the theoretical developments proposed by the transcultural current developed by Marie Rose Moro, with the aim of improving the therapeutic alliance and therefore the efficiency of care provided to migrant populations.</div></div><div><h3>Method</h3><div>Twenty-nine psychiatrists out of 58 responded to a questionnaire asking to describe, in a quantitative and qualitative way, the clinical practices with patients from first and second generation migration on the theme of the alliance, its identification, its remediation in the event of default, recourse to interpreters, recourse to specific transcultural or intercultural mechanisms, interest in transcultural concepts, as well as proposals for improving practices.</div></div><div><h3>Results</h3><div>The results show that the child psychiatrists of Haute-Garonne are generally aware of and interested in the concepts of transcultural psychiatry but that few of them use specific devices which are also few in the territory. The alliance problems encountered are not always related to the cultural particularities of the families. They do not always recognize the importance of interpreters in their functions as “cultural mediators” but more for the translation of the language. Many proposals are emerging to improve practices and resources in the territory.</div></div><div><h3>Conclusions</h3><div>From these results, avenues for development have emerged at several levels: adapting existing systems through better knowledge and taking into account the cultural specificities of patients, developing knowledge and the use of interpreting as well as to supervisions, set up new specific mechanisms (such as consultation and transcultural mediation) with trained practitioners and organize a network allowing greater clarity and better access to the resources of the territory.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 3","pages":"Pages 145-155"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143887376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Expérimentations d’usage de substances psychoactives et pratiques addictives chez les jeunes adultes","authors":"A. Bezo ,&nbsp;A. Benyamina ,&nbsp;S. Coscas ,&nbsp;L. Karila","doi":"10.1016/j.neurenf.2025.01.008","DOIUrl":"10.1016/j.neurenf.2025.01.008","url":null,"abstract":"<div><div>The terms new substances and new behaviors refer to the current practices of young adults in a broad spectrum from recreational use to authentic addictive disorders. Trends have evolved as much in their intensity of consumption as in their uses.</div></div><div><h3>Method</h3><div>The purpose of this review is to describe current practices among young adults. A literature review was conducted between 2008 and 2024 on the websites PubMed, Google Scholar.</div></div><div><h3>Results</h3><div>We reviewed several substances and associated behaviors namely; nitrous oxide, poppers, cannabis, cannabinoids, tobacco and related products, and finally the misuse of codeine syrup. Although levels of substance use have generally decreased among young adults, the substances described constitute major public health issues. Indeed, their danger, although little known and trivialized by young people, is considerable. Although the mechanisms of action differ from one molecule to another, the substances described are all at risk of abuse and addiction. The use of these substances exposes one to the risk of physical and psychological complications.</div></div><div><h3>Conclusion</h3><div>The evolution of practices and the emergence of new products imply changes, both in the choice of prevention measures and in the consumption practices of users. Information for professionals and users is therefore essential to prevent and reduce the risk of harm from these substances.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 3","pages":"Pages 163-169"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143887371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Agenda","authors":"","doi":"10.1016/j.neurenf.2025.04.001","DOIUrl":"10.1016/j.neurenf.2025.04.001","url":null,"abstract":"","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 3","pages":"Pages 170-172"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143887378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of internet gaming disorder and psychosocial factors: Results from a longitudinal study","authors":"Constance Prieur ,&nbsp;Olivier Phan","doi":"10.1016/j.neurenf.2025.01.005","DOIUrl":"10.1016/j.neurenf.2025.01.005","url":null,"abstract":"<div><div>The prevalence of Internet Gaming is high among adolescents in France. Some adolescents develop Internet Gaming Disorder (IGD) as they neglect school, family life and social activities offline. IGD is known to interact with other mental health problems, such as social anxiety and depression. The objective of this study was to identify the trajectory of development of IGD. The Pelleas Survey, as it is a longitudinal study, allowed to identify some socio-psychological pre-existing factors to IGD with a second wave survey at six months. Students from 11 to 18 years old were surveyed at school. Prevalence of IGD was 12% in the sampling. Depression was found to be as high as 11%. We found that pre-existing depression was a risk factor for IGD. These results suggest that some adolescents try to cope with depression with IGD.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 3","pages":"Pages 156-162"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143887370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Description et intérêt d’un dispositif collaboratif multidisciplinaire pour améliorer les pratiques de prescriptions médicamenteuses en hôpital de jour pour adolescents","authors":"A. Laporte ,&nbsp;A. Chaupin ,&nbsp;T. Lanot","doi":"10.1016/j.neurenf.2025.02.007","DOIUrl":"10.1016/j.neurenf.2025.02.007","url":null,"abstract":"<div><div>A quantitative assessment of drug prescriptions was carried out in a day hospital for adolescents following several cases of drug iatrogenia and lack of therapeutic response to treatment. These data – which are consistent with the literature on the frequency, age of introduction and off-label prescribing in child psychiatry – prompted the unit to set up a working group in 2020 to monitor drug prescriptions, including the pharmacy and the pharmacokinetics laboratory at the hospital and university centre. The main aim of this work was to highlight the improvements in how adolescents are treated for drug-related problems, thanks to this multidisciplinary approach, in terms of the improvements proposed and the resulting clinical benefits. In practice, a meeting was organised every six months at the day hospital to discuss one or two complex situations. The doctor and nurses described the clinical context and explained the difficulties. The pharmacist carried out a drug history and an in-depth analysis of the prescription and provided information on good practice. The biologist analysed the results of plasma pharmacological assays and made recommendations. A review of the literature could also have been carried out. The doctor recorded these discussions in the patient file and involved the teenager and his or her legal representatives in the conclusions of the meeting and the resulting therapeutic choices. This decision-making aid means that a specific, collegial period of reflection can be devoted to drug prescribing, and it provides a better framework for therapeutic strategies, especially outside the scope of marketing authorization. Abnormalities in the metabolism of psychotropic drugs have been identified. This meeting can also contribute to the development of new skills. We propose to highlight how this working method helps to improve the quality, effectiveness and safety of drug prescribing.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 3","pages":"Pages 125-132"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143887374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Apports des données en vie réelle à la sécurité des antipsychotiques chez l’enfant et l’adolescent","authors":"D.A. Merino ,&nbsp;A.O. Gérard ,&nbsp;A. Destere ,&nbsp;F. Askenazy ,&nbsp;F. Montastruc ,&nbsp;M.-D. Drici ,&nbsp;S. Thümmler","doi":"10.1016/j.neurenf.2025.02.002","DOIUrl":"10.1016/j.neurenf.2025.02.002","url":null,"abstract":"<div><div>The use of antipsychotics (APs) in child and adolescent psychiatry poses major challenges, both in terms of iatrogenesis and drug abuse. Analyzing real-world data from the international pharmacovigilance database (VigiBase®) revealed age-dependent safety profiles with increased reports of alertness disorders, seizures, and aggression in young children, while adolescents were subject to higher rates of depression, abuse, and dependence. Risperidone, aripiprazole, quetiapine, and olanzapine were the most frequently implicated antipsychotics, with olanzapine associated with catatonia and quetiapine notably linked to abuse in adolescents. Nutritional disorders related to antipsychotics were more frequently reported in children and adolescents, with risperidone showing a high disproportionality signal. Adolescents exhibited specific safety concerns, including a signal for non-alcoholic steatohepatitis associated with aripiprazole. Despite the limitations of pharmacovigilance methods, these studies help quantify adverse drug event frequencies in specific subgroups and detect emerging or rare signals. These pharmacoepidemiological analyses emphasize the importance of rigorous, ongoing benefit-risk assessment when prescribing antipsychotics in the pediatric population.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 3","pages":"Pages 133-137"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143887375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Les médiations thérapeutiques et art-thérapies dans la prise en charge des mineurs non accompagnés (MNA) : Une évidence ?","authors":"Mathilde Fragonas ,&nbsp;Jean-Luc Sudres","doi":"10.1016/j.neurenf.2025.01.007","DOIUrl":"10.1016/j.neurenf.2025.01.007","url":null,"abstract":"<div><h3>Context</h3><div>In a complex global political and social context, France takes in migrants including unaccompanied minors, mainly from West Africa and Asia. The adversity they have had to face can lead to psychological distress which has an impact on their well-being and quality of life.</div></div><div><h3>Objective</h3><div>The aim of this article is to provide a synopsis of the psychopathological and socio-cultural difficulties that these children and adolescents may present when they arrive in France. This study focuses on indications and applications of therapeutic/art therapeutic mediations (more specifically theatre) offered to migrant populations.</div></div><div><h3>Method</h3><div>A literature review was carried out on the psychological support offered in an intercultural context to migrant children and adults. Searches were conducted on bibliographic databases (EBSCP, PubMed and Google Scholar) in addition to grey literature and field practices, to identify the therapeutic mediation/art therapy used. A clinical example is also presented based on clinical practices in an institution.</div></div><div><h3>Results</h3><div>The effects in migrant populations are recognized by the scientific community, helping to reduce symptoms of adaptive stress due to acculturation and/or post-traumatic stress, anxiety and depression, to increase existential satisfaction and the development of hope, to reduce behavioral difficulties such as hyperactivity, and to play a role in the development of emotional and social skills, self-esteem and resilience. However, few studies have focused specifically on Unaccompanied Minors, even though they present real needs. A clinical focus was placed on the relevance of dramatherapy (therapeutic mediation through theatre), with the development of a standardised and reproducible programme. However, given the extent of their needs and the effectiveness of such therapeutic options, it is very surprising that few studies have focused specifically on unaccompanied minors.</div></div><div><h3>Conclusion</h3><div>In view of the effectiveness of mediation and art therapy with migrant populations, it seems appropriate and necessary to offer psychological care of this type to unaccompanied minors. Given the increasing numbers of these young people arriving in France, we aim to point out the importance to design and test intervention programs using mixed research methods to assess their clinical impact and to carry out additional standardisation work with recommendations for good practice and training for practitioners.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 3","pages":"Pages 138-144"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143887377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analyse de livre","authors":"P. Duverger","doi":"10.1016/j.neurenf.2025.02.004","DOIUrl":"10.1016/j.neurenf.2025.02.004","url":null,"abstract":"","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 3","pages":"Pages 123-124"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143887373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Agenda","authors":"","doi":"10.1016/j.neurenf.2025.02.001","DOIUrl":"10.1016/j.neurenf.2025.02.001","url":null,"abstract":"","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 2","pages":"Pages 119-121"},"PeriodicalIF":0.0,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143454528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implication des parents dans un centre de diagnostic d’autisme : étude qualitative de leur vécu","authors":"M. Ben Amara ,&nbsp;N. Pommepuy ,&nbsp;A. Révah-Levy ,&nbsp;J. Ingelaere ,&nbsp;J. Sibeoni ,&nbsp;P. Zylberberg","doi":"10.1016/j.neurenf.2024.11.009","DOIUrl":"10.1016/j.neurenf.2024.11.009","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to explore the parent's lived experiences of the diagnostic assessment of autism spectrum disorder within the framework of UNIDEP, an expert center with the specificity of including parents during all of the assessment sessions by means of their presence with professionals behind a one-way mirror.</div></div><div><h3>Methods</h3><div>We conducted a monocentric and retrospective qualitative study following the five-stage Inductive Process to analyze the Structure of lived Experience method. Data collection was through semi-structured interviews with parents who had undergone the diagnostic evaluation experience at UNIDEP and who had received an autism spectrum disorder diagnosis for their child. Data analysis was based on an individual descriptive phase and a group structuring phase with the help of NVIVO software. The recruitment of parents according to the principle of purposive sampling continued until data saturation.</div></div><div><h3>Results</h3><div>Ten parents were included which allowed this sample to reach data saturation. The inductive thematic analysis revealed an experience of parents structured around three axes: 1. Getting involved and being involved by professionals: active involvement of parents, quality of reception and assistance provided by professionals; 2. A shift in the parent's position and a different way of observing: being able to observe the child differently, what the assessment framework allows them to observe; and finally, 3. Being able to acquire knowledge, understanding and the ability to evolve.</div></div><div><h3>Discussion</h3><div>Our results suggest that the practical modalities of the diagnostic process that enhanced the feeling of parental involvement were the One-way mirror system and the permanent assistance by professionals. These modalities were integrated into a structured process that allowed parents to progressively evolve on a journey of understanding, and induced reflection about parenting and co-parenting.</div></div><div><h3>Conclusion</h3><div>This study allowed us to question the concrete modalities of human and material organization of our diagnostic practice in light of the richness of experiences that this framework can foster.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 2","pages":"Pages 63-71"},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143454523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}